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Ben Kieckhefer State Senate, District 16  
Name Office (if applicable) District (if applicable)
10045 Goler Wash Ct., Reno, NV, 89521  
Mailing Address Telephone No.
 
E-Mail Address

 Select Appropriate Box(es)
CANDIDATE PAC POLITICAL PARTY INDEPENDENT EXPENDITURE
NONPROFIT CORP LEGAL DEFENSE FUND AMENDED
Annual Filing - Due January 15, 2012
Period: Jan 01, 2011 - Dec 31, 2011
Report #1 - Due May 22, 2012
Period: Jan 01, 2012 - May 18, 2012
Report #2 - Due June 08, 2012
Period: May 19, 2012 - Jun 07, 2012
Report #3 - Due October 16, 2012
Period: Jun 08, 2012 - Oct 12, 2012
Report #4 - Due November 02, 2012
Period: Oct 13, 2012 - Nov 01, 2012
Report #5 - Due January 15, 2013*
Period: Nov 02, 2012 - Dec 31, 2012
Annual Filing - Due January 15, 2013
Period: Jan 01, 2012 - Dec 31, 2012
FILED
Jan 15 2013
 
ROSS MILLER
SECRETARY OF STATE
FOR OFFICE USE ONLY
      * Report #5 suffices for the 2013 Annual Filing only if Report #'s 1, 2, 3 and 4 are previously filed
1. Total Monetary Contributions Received in Excess of $100
    (See page 1 of instruction sheet)
$ 13,650.00   $ 13,650.00
2. Total Monetary Contributions in the Form of Loans Guaranteed by a 3rd-Party in Excess of $100
    (See page 1 of instruction sheet)
$ 0.00   $0.00
3. Total Monetary Contributions in the Form of Loans that were Forgiven in Excess of $100
    (See page 2 of instruction sheet)
$ 0.00   $0.00
4. Total Amount of Written Commitments for Contributions in Excess of $100
    (See page 2 of instruction sheet)
$ 0.00   $0.00
5. Total Value of In Kind Contributions in Excess of $100
    (See page 2 of instruction sheet)
$ 462.63   $462.63
6. Total Value of Written Commitments for In Kind Contributions in Excess of $100
    (See page 2 of instruction sheet)
$ 0.00   $0.00
7. Total Amount of all Contributions of $100 or less
    (See page 2 of instruction sheet)
$ 200.00   $200.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 14,312.63   $14,312.63
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 34,489.51   $34,489.51
10. Total Value In Kind Expenses in Excess of $100
    (See page 3 of instruction sheet)
$ 462.63   $462.63
11. Total Amount of all Expenses of $100 or less
    (See page 3 of instruction sheet)
$ 2,060.31   $2,060.31
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 37,012.45   $37,012.45
 
MUST SELECT AT LEAST ONE:
 I Declare Under Penalty of Perjury That the Foregoing is True and Correct.
 I Declare Under an Oath to God that the Forgoing is True and Correct*
         * A declaration under an oath to God is subject to the same penalties as declaration under penalty of perjury



Benjamin R. Kieckhefer 01/15/2013
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)

MONETARY CONTRIBUTIONS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE CONTRIBUTIONDATE OF
CONTRIBUTION
AMOUNT OF
CONTRIBUTION
CHECK HERE IF LOANNAME AND ADDRESS OF 3rd PARTY IF LOAN GUARANTEED BY 3rd PARTYNAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO FORGAVE THE LOAN, IF DIFFERENT THAN CONTRIBUTOR
Lewis & Roca
50 West Liberty Street #410
Reno, NV 89501
04/19/2012
10/08/2012
$1,000.00
$1,000.00
   
Boyd Gaming Corporation
6465 South Rainbow Blvd
Las Vegas, NV 89118
04/30/2012$1,000.00   
Pfizer Inc
1201 K Street
Suite 1010
Sacramento, CA 95814
06/20/2012$750.00   
Silver Legacy
P.O. Box 3920
Reno, NV 89502
07/06/2012$500.00   
James & Leslie Miller
4045 Plateau Rd
RENO, NV 89519
08/17/2012$250.00   
Gregory E Boyer
5760 Florimont Ct
RENO, NV 89511
08/17/2012$250.00   
Astra Zeneca
1800 Concord Pike
Wilmington, DE 19850
09/14/2012$500.00   
Nevada Health PAC
5250 Neil Rd.
Suite 302
Reno, NV 89505
09/14/2012$1,000.00   
Sunrise Healtcare System Good Government Fund PAC
3186 S. Maryland Parkway
Las Vegas, NV 89019
09/18/2012$500.00   
Brian & Christine Bosse
13355 South Hills Drive
RENO, NV 89511
10/01/2012$250.00   
John La Gatta
50 West Liberty Street, Suite 1080
Reno, NV 89501
10/04/2012$250.00   
John P. Sande IV
8100 Silver Strike Court
RENO, NV 89523
10/04/2012$250.00   
MJM Properties LLC
1601 Lewis St
RENO, NV 89502
10/04/2012$250.00   
John & Gail Sande III
85 HAWKEN ROAD
RENO, NV 89509
10/04/2012$250.00   
Manufactured Home Community Owners PAC
4055 S. Spencer St., Ste 107
Las Vegas, NV 89119
10/09/2012$500.00   
Pacific Meter Services
550 W. Plumb Lane, #459
RENO, NV 89509
10/12/2012$150.00   
Peppermill Casinos Inc
90 West Grove St 600
Reno, NV 89509
12/06/2012$1,000.00   
Nevada Realtor Pac
760 Margrave Drive #200
RENO, NV 89502
12/10/2012$3,000.00   
General Electric Company
P.O. Box 9544
Fort Myers, FL 33906
12/14/2012$1,000.00   

 

 WRITTEN COMMITMENTS Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)

WRITTEN COMMITMENTS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE COMMITMENTDATE OF
COMMITMENT
AMOUNT OF
COMMITMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

 

 IN KIND CONTRIBUTIONS Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)

WRITTEN COMMITMENTS FOR IN KIND CONTRIBUTIONS

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE IN KIND WRITTEN COMMITMENTDATE OF IN KIND
WRITTEN COMMITMENT
VALUE OF IN KIND
WRITTEN COMMITMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

 

 EXPENSE CATEGORIES Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)


Expense Categories (NRS 294A.365)


 CATEGORIES  CODE
 Office expenses A
 Expenses related to volunteers B
 Expenses related to travel C
 Expenses related to advertising D
 Expenses related to paid staff E
 Expenses related to consultants F
 Expenses related to polling G
 Expenses related to special events H
 Expenses related to legal defense fund I
Goods and services provided in kind for which money would  otherwise have been paid
J
Contributions made to: (i) another candidate; (ii) a nonprofit corporation that is registered or required to be registered pursuant to NRS 294A.225; (iii) a PAC that is registered or required to be registered pursuant to NRS 294A.230; or (iv) a Recall Committee that is registered or required to be registered pursuant to NRS 294A.250
K
 Other miscellaneous expenses L










NRS 294A.362 requires “In Kind” contributions and expenses to be reported separately.
 

 MONETARY EXPENSES Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)

MONETARY EXPENSES

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO RECEIVED THE PAYMENT FOR THE EXPENSECATEGORY
(NRS 294A.365)
DATE OF
EXPENSE
AMOUNT OF
EXPENSE
Dollar Rent A Car
7135 Gillespie St
Las Vegas, NV 89119
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
01/12/2012
01/26/2012
03/09/2012
03/14/2012
03/23/2012
04/12/2012
04/16/2012
04/20/2012
04/27/2012
05/25/2012
06/15/2012
06/18/2012
07/02/2012
07/20/2012
08/14/2012
08/31/2012
09/10/2012
09/24/2012
10/12/2012
11/13/2012
12/10/2012
12/13/2012
$55.77
$82.01
$128.35
$61.48
$115.62
$72.99
$107.88
$41.75
$107.69
$112.60
$51.01
$88.30
$119.97
$48.78
$87.85
$47.73
$30.75
$99.18
$93.21
$99.92
$69.25
$61.59
The UPS Store
748 S. Meadows Parkway
Suite A9
Reno, NV 89521
A01/17/2012$156.00
Pete Livermore for Assembly
4 Raglan Circle
Carson City, NV 89701
K01/31/2012$250.00
Kirner for Assembly
PO Box 17388
Reno, NV 89511
K03/02/2012$250.00
Southwest Air
P.O. Box 36647
Dallas, TX 75235
C
C
C
C
C
C
C
C
C
C
C
C
03/07/2012
04/05/2012
04/05/2012
04/16/2012
04/17/2012
04/27/2012
06/06/2012
06/06/2012
06/14/2012
07/18/2012
09/28/2012
12/10/2012
$86.00
$5.00
$248.60
$93.00
$369.60
$28.00
$246.60
$313.60
$28.00
$219.60
$189.60
$383.60
Autumn e-media
P. O. Box 371553
Las Vegas, NV 89137
F03/26/2012$297.00
New York-New York Hotel & Casino
3790 Las Vegas Blvd. South
LAS VEGAS, NV 89109
C
C
04/06/2012
04/16/2012
$78.40
$253.12
Mari St. Martin for Senate
9050 West Warm Springs
Unit 2146
LAS VEGAS, NV 89148
K04/23/2012$10,000.00
Kirk for Senate
2018 Deer Springs Drive
Henderson, NV 89074
K05/31/2012$5,000.00
Committee to Elect Bernie Carter
316 California Avenue, #561
RENO, NV 89509
K06/07/2012$500.00
Red Rock Casino Resort
11011 W Charlston Blvd
Las Vegs, NV 89135
H06/15/2012$418.20
Southwest Air
P.O. Box 36647 1CR
Dallas, TX 75235
C
C
C
C
07/09/2012
08/16/2012
10/25/2012
11/19/2012
$152.40
$259.60
$625.50
$10.00
American Legislative Exchange Council
1101 Vermont Ave., NW, 11th Floor
Washington, DC 20005
H07/09/2012$575.00
Little America Hotel
500 South Main Street
Salt Lake City, UT 84101
C07/30/2012$563.81
Nevada Day Parade
P.O. Box 999
Carson City, NV 89702
H09/17/2012$350.00
Brower for Nevada
4790 Caughlin Pkwy #179
Reno, NV 89519
K10/30/2012$10,000.00
Venetian Palazzo
3355 Las Vegas Blvd., South
Las Vegas, NV 89109
C
C
11/05/2012
11/08/2012
$144.48
$244.52
Southwest
P.O. Box 36647 1CR
Dallas, TX 75235
C11/05/2012$366.60
 
 


 IN KIND EXPENSES Report Period   # An.
Ben Kieckhefer State Senate, District 16  
Name (print) Office (if applicable) District (if applicable)

IN KIND EXPENSES


Prescribed by Secretary of State
NRS 294A.120, 294A.125,
294A.140, 294A.150, 294A.160
294A.200, 294A.210, 294A.220, 294A.362